John Douglas Huntley, DMD
Individual provider Active NPI General Practice Dentistry · Greenville, ME
NPI 1477587988 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1477587988
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 3413 (ME)
- Practice address
- 364 Pritham Ave
Ca Dean Memorial Hospital
Greenville, ME 04441 - Phone
- (207) 695-3767
- Fax
- (207) 695-3826
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3413 | ME | MD | General Practice Dentistry |
| 2621 | NH | MD | Orthopedic Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3413 | ME | Yes |
| General Practice Dentistry | 1223G0001X | 2621 | NH |
Addresses
Primary practice location
364 Pritham Ave
Ca Dean Memorial Hospital
Greenville, ME 04441
Mailing address
28 Grandview Dr
Berlin, NH 03570-1536
Phone (603) 752-9299
Other providers in Greenville, ME
- Lawrence Dubien
- Eastern Maine Healthcare Systems
- Eastern Maine Healthcare Systems
- Karen Glavin
- Michael Harris
- Megan Jennison
- Jaime Reuter Knowlton
- Angie Madore
- Moosehead Drug Inc.
- Darin Matthew Peck
All providers in Greenville, ME · General Practice Dentistry in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.